NPI 1124026539 · live from the CMS NPI Registry
John Gerard Bitwinski, M.D.
Radiology, Diagnostic Radiology in Preston, ID. National Provider Identifier 1124026539, active.
NPI record
| NPI | 1124026539 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 44 N 100 E, Preston, ID 83263 |
| Practice phone | 208-852-1937 |
| Mailing address | Po Box 1108, Bountiful, UT 84011 |
| Enumerated | July 9, 2005 |
| Last updated | April 20, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-8805 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.